Job Description

A bit about this role:

This position represents an amazing opportunity for an ambitious early-mid career pharmacist to join a high performing pharmacy team. You’ll be a core member of the Pharmacy Team’s Utilization Management department to work on controlling the costs of complex treatments. You will strive to ensure that our members get the right treatment at the right time all while supporting the mission of our company to treat each member like family along the way. We are committed to helping and supporting you to learn and gain the experience that you need to achieve your career development goals. This is an exciting opportunity to help us build and grow our health plan pharmacy program and deliver the best possible care to our members!

Your Responsibilities and Impact will include:

Utilization Management

• Reviewing prior authorization requests for drugs and biologics, as well as products covered under our part B benefit.

• Reviewing appeals of previously denied requests.

• Ensuring members (and their providers) understand their benefits and how they can be used to better their health.

• Providing support for internal clinical and non-clinical staff in understanding our policies and procedures.

Required skills and experience:

• A pharmacist (RPh) with 2 or more years of utilization management experience and/or completion of a managed care residency. Applicable specialty pharmacy experience also considered.

• Doctorate of Pharmacy degree (PharmD).

• Actively licensed in at least one state.

• Must be willing to work Monday-Friday 8am to 5pm PST (Pacific Standard Time). Rotating weekend on call is required.

• Experience with pharmacy-related quality assurance (QA) work is strongly preferred but not required (examples include experience performing medication reconciliation during transitions of care or helping to design and/or implement other pharmacy-related quality improvement programs).

Desired skills and experience:

• An appreciation of Medicare regulations and policies and how Medicare pays for drugs.

• A keen understanding of how the interactions between payers, providers, and drug manufacturers ultimately affect the patient.

• Experience working as part of a multidisciplinary care team, especially during transitions of care.

Salary Range: $75,000 - $140,000/year

Our ranges are purposefully broad to allow for growth within the role over time. Once the interview process begins, your talent partner will provide additional information on the compensation for the role, along with additional information on our total rewards package. The actual base salary offered may depend on a variety of factors, including the qualifications of the individual applicant for the position, years of relevant experience, specific and unique skills, level of education attained, certifications or other professional licenses held, and the location in which the applicant lives and/or from which they will be performing the job.

Our Total Rewards package includes:

• Employer sponsored health, dental and vision plan with low or no premium

• Generous paid time off

• $100 monthly mobile or internet stipend

• Stock options for all employees

• Bonus eligibility for all roles excluding Director and above; Commission eligibility for Sales roles

• Parental leave program

• 401K program

• And more....

*Our total rewards package is for full time employees only. Intern and Contract positions are not eligible.

Healthcare equality is at the center of Devoted’s mission to treat our members like family. We are committed to a diverse and vibrant workforce.

At Devoted Health, we’re on a mission to dramatically improve the health and well-being of older Americans by caring for every person like family. That’s why we’re gathering smart, diverse, and big-hearted people to create a new kind of all-in-one healthcare company — one that combines compassion, health insurance, clinical care, service, and technology - to deliver a complete and integrated healthcare solution that delivers high quality care that everyone would want for someone they love. Founded in 2017, we've grown fast and now serve members across the United States. And we've just started. So join us on this mission!

Devoted is an equal opportunity employer. We are committed to a safe and supportive work environment in which all employees have the opportunity to participate and contribute to the success of the business. We value diversity and collaboration. Individuals are respected for their skills, experience, and unique perspectives. This commitment is embodied in Devoted’s Code of Conduct, our company values and the way we do business.

As an Equal Opportunity Employer, the Company does not discriminate on the basis of race, color, religion, sex, pregnancy status, marital status, national origin, disability, age, sexual orientation, veteran status, genetic information, gender identity, gender expression, or any other factor prohibited by law. Our management team is dedicated to this policy with respect to recruitment, hiring, placement, promotion, transfer, training, compensation, benefits, employee activities and general treatment during employment.